| NPI | 1538557350 |
|---|---|
| Former Name | RIKKI LOESCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1106151) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-02747) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2019-06-12 |